Application Form

Name of Candidate Gautam Kumar
911021211057

Student Photo Not Available
Mother's Name Dhanwanti Devi
Father's Name Devnarayan Prasad Singh
Date of Birth * 10-Aug-1995
Gender MALE
Enrollment No.
Nationality INDIAN
Present Address DELUA, BAZIDPUR, MUZAFFARPUR-843123
Mobile No. 7633052760
Email Address subhashkumar150196@gmail.com

Course Details

Course Name /Code Certificate In Computer Typing (CT)
Course Duration 6 Months

Center Details

Center Code 91102121
Center Name Vedanta Computer Centre
Center Address Chakkar Chowk
Decleration

I hereby declared that all the informations are correct and true to the best of my knowledge and belief.

Place: _______________

Date : _______________
Authorized Signatory